Tags

Type your tag names separated by a space and hit enter

[Effect of balloon dilation tracheoplasty in the management of acquired subglottic stenosis in children].

Abstract

Objective:

To assess the efficiency and safety of balloon dilation tracheoplasty technique in the management of acquired subglottic stenosis in children. Method:Twenty-three cases were diagnosed as acquired subglottic stenosis by chest CT scan and bronchoscpy,and received the treatment of the balloon dilatation tracheoplasty.The data about the efficiency,complication and prognosis of the treatment were collected. Result:In the 23 cases,6 of All 11 patients with tracheotomy were decannulated,11 patients were successfully managed without tracheotomy,1 patients received laryngotracheal reconstruction(LTR) surgery, 5 cases were still under observation. The overall response rate was 73.91%.All cases were divided into three stages according to Cotton stage system:1 cases were stage Ⅰ stenosis,6 cases were stage Ⅱ and 16 cases were stage Ⅲ. The response rate was 100.00%,83.33%,and 68.75% respectively. The most common complication in the balloon dilatation tracheoplasty was restenosis. Restenosis occurs in 12(52.17%) cases who received more than 1 dilation procedures in this study. Over all average dilation times is 1.87. Eight cases(88.9%) of 9 in fresh leision group were recoverd, the average dilation time is 1.22; 8 cases (57.14%) of 14 in old leision group were recoverd, the average dilation time is 2.23. The average dilation time between two group is significant(P<0.05).

Conclusion:

Subglottic stenosis in pediatric patients can be successfully managed with balloon dilation tracheoplasty. In patients without prior tracheotomy, tracheotomy can often be safely avoided with appropriate postoperative management.

Authors+Show Affiliations

Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine,Shanghai.Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine,Shanghai.Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine,Shanghai.Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine,Shanghai.Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine,Shanghai.Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine,Shanghai.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

29798265

Citation

Jiao, Y, et al. "[Effect of Balloon Dilation Tracheoplasty in the Management of Acquired Subglottic Stenosis in Children]." Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, vol. 30, no. 24, 2016, pp. 1921-1925.
Jiao Y, Huang Q, Zhang ZH, et al. [Effect of balloon dilation tracheoplasty in the management of acquired subglottic stenosis in children]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016;30(24):1921-1925.
Jiao, Y., Huang, Q., Zhang, Z. H., Lv, J. R., Yang, J., & Wu, H. (2016). [Effect of balloon dilation tracheoplasty in the management of acquired subglottic stenosis in children]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 30(24), pp. 1921-1925. doi:10.13201/j.issn.1001-1781.2016.24.006.
Jiao Y, et al. [Effect of Balloon Dilation Tracheoplasty in the Management of Acquired Subglottic Stenosis in Children]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016;30(24):1921-1925. PubMed PMID: 29798265.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of balloon dilation tracheoplasty in the management of acquired subglottic stenosis in children]. AU - Jiao,Y, AU - Huang,Q, AU - Zhang,Z H, AU - Lv,J R, AU - Yang,J, AU - Wu,H, PY - 2016/09/19/received PY - 2018/5/26/entrez PY - 2016/12/1/pubmed PY - 2018/8/29/medline KW - KW - balloon dilation KW - child KW - subglottic stenosis KW - tracheoplasty SP - 1921 EP - 1925 JF - Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery JO - Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi VL - 30 IS - 24 N2 - Objective:To assess the efficiency and safety of balloon dilation tracheoplasty technique in the management of acquired subglottic stenosis in children. Method:Twenty-three cases were diagnosed as acquired subglottic stenosis by chest CT scan and bronchoscpy,and received the treatment of the balloon dilatation tracheoplasty.The data about the efficiency,complication and prognosis of the treatment were collected. Result:In the 23 cases,6 of All 11 patients with tracheotomy were decannulated,11 patients were successfully managed without tracheotomy,1 patients received laryngotracheal reconstruction(LTR) surgery, 5 cases were still under observation. The overall response rate was 73.91%.All cases were divided into three stages according to Cotton stage system:1 cases were stage Ⅰ stenosis,6 cases were stage Ⅱ and 16 cases were stage Ⅲ. The response rate was 100.00%,83.33%,and 68.75% respectively. The most common complication in the balloon dilatation tracheoplasty was restenosis. Restenosis occurs in 12(52.17%) cases who received more than 1 dilation procedures in this study. Over all average dilation times is 1.87. Eight cases(88.9%) of 9 in fresh leision group were recoverd, the average dilation time is 1.22; 8 cases (57.14%) of 14 in old leision group were recoverd, the average dilation time is 2.23. The average dilation time between two group is significant(P<0.05). Conclusion:Subglottic stenosis in pediatric patients can be successfully managed with balloon dilation tracheoplasty. In patients without prior tracheotomy, tracheotomy can often be safely avoided with appropriate postoperative management. SN - 1001-1781 UR - https://www.unboundmedicine.com/medline/citation/29798265/[Effect_of_balloon_dilation_tracheoplasty_in_the_management_of_acquired_subglottic_stenosis_in_children]_ DB - PRIME DP - Unbound Medicine ER -